Strategic Utilization Review Nurse Case Manager
Santa Barbara Cottage Hospital
Santa Barbara Cottage Hospital is seeking a Utilization Review Nurse to apply medical knowledge and guidelines for reviewing workers’ compensation cases. The role involves collaboration with physicians and claim handlers to determine appropriate treatment decisions. The ideal candidate will have significant nursing experience, strong communication skills, and the ability to navigate regulatory guidelines efficiently. Additional responsibilities include ensuring compliance with state regulations and making informed clinical decisions. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- LSC Lifesciences Consultants Inc. is looking for a Case Manager in New York to lead strategic projects and derive insights that shape healthcare. Candidates should have over 6 years in life sciences or healthcare consulting, ideally with an advanced degree. The role involves...Suggested
- ...clinical coordination of assigned cases, often focusing on adherence... .... This may include reviewing and approving documentation like... ...may involve supervising field nurses, administer certain treatments... ...to bring ideas evidence base strategic plans to improve agency standard...Suggested
$56k - $60k
...College seeks a committed Educational Case Manager (ECM) for the successful foreign‑born RN... ...increasing the number of bilingual/bicultural nurses in NYC by providing the customized... ...faculty. ECM must be able to think strategically, advocate for students, problem solve and...SuggestedWork experience placementLocal areaRemote workWeekend workAfternoon shift- Ona Data in Buffalo, New York is seeking a dedicated Case Manager to advocate for clients in personal injury matters. The role encompasses managing cases from intake to settlement, ensuring exceptional service and proactive communication. The ideal candidate will possess...Suggested
$2,685 per week
...Registered Nurse (RN) | Case Manager Location: New York, NY Agency: Seven Healthcare Pay: $2,685 per week Shift Information... ...delivering exceptional patient care in a home health setting, utilizing skills in EPIC or Netsmart, OASIS, and Telemetry....SuggestedWeekly payFull timeImmediate startMonday to FridayFlexible hoursShift workWeekend workDay shift$2,162 - $2,315 per week
...Registered Nurse (RN) | Case Manager Location: Mott Haven, NY Agency: Host Healthcare Pay: $2,162 to $2,315 per week Shift Information... ...rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the...Full timeContract workLocal areaImmediate startShift work$2,162 - $2,315 per week
...Registered Nurse (RN) | Case Manager Location: Mott Haven, NY Agency: Host Healthcare Pay: $2,162 to $2,315 per week Shift Information: Days Contract Duration: 14 Weeks Start Date: 6/29/2026 About the Position Host Healthcare is an award...Full timeContract workImmediate startShift work$2,828 per week
...Registered Nurse (RN) | Case Manager Location: Queens, NY Agency: Prime Staffing Pay: $2,828 per week Shift Information: Days... ...fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified...Permanent employmentFull timeContract workTemporary workImmediate startShift work$2,386 per week
...Registered Nurse (RN) | Case Manager Location: Mott Haven, NY Agency: Atlas MedStaff Pay: $2,386 per week Shift Information:... ...Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that...Hourly payFull timeContract workWork at officeRemote workShift workWeekend work$2,828 per week
...Registered Nurse (RN) | Case Manager Location: Queens, NY Agency: Prime Staffing Pay: $2,828 per week Shift Information: Days - 5 days x 7 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position ID: 63378927 Shift: AM 5...Full timeContract workImmediate startShift work$2,386 per week
...Registered Nurse (RN) | Case Manager Location: Mott Haven, NY Agency: Atlas MedStaff Pay: $2,386 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 14 Weeks Start Date: 6/29/2026 About the Position Atlas Medstaff...Hourly payFull timeContract workWork at officeShift work$54.1k - $129.62k
...time. Position Summary This Case Manager RN position is 100% remote and... ...position. The Case Manager RN utilizes a collaborative process of... ...coordination needs, inpatient review, and discharge planning, developing... ...Manager RN role requires a nurse that can exercise independent...Hourly payFull timeTemporary workLive inLocal areaRemote workMonday to FridayFlexible hoursAfternoon shift$125.4k - $200.7k
...Are you passionate about using your Case Management experience to support Oncology Patients... ...Department is made up of Registered Nurses (RNs), Licensed Practical Nurses (... .... You will perform special chart reviews to support strategic planning initiatives, while working...Monday to FridayShift work$100k - $113.5k
...POSITION SUMMARY: Responsible for nursing assessment, writing of diagnoses, developing... ...health problems and interventions; reviews, medication, hospitalizations, clinics,... ...collaboratively with all involved personnel in managing the person receiving service's care from...Monday to FridayShift work$46.15 - $52.92 per hour
...Nurse Case Manager Type of Position Full time Search Location(s) Brooklyn, NY Apply Now ( Job Brief Coordinates the delivery... ...Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: ~ Medical Case Manager Counselors...Full timeMonday to FridayFlexible hoursShift work- ...Job description: We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our Social Service Health Care Team. As a Registered Nurse Case Manager, you will be responsible for providing comprehensive patient care and coordinating services...Local areaImmediate start
$60.52k - $129.62k
...community at a time. Care Coordinator (RN) - Case Management Location: Remote About the Role We're... ...and detail‑driven Registered Nurse (RN) to join our team as a Case Manager... ...transitions from hospital to home Conduct utilization reviews to promote high-quality, cost‑...Hourly payFull timeTemporary workLocal areaRemote work- ...The Care Manager RN supports other members of the Care Team through clinical... ..., with the ability to effectively utilize these tools within the context of... ...CM RN role. Minimum 3+ years of nursing experience Minimum 2+ years of case management, discharge planning and...Work at office
$59.9k - $92.18k
...record; Conduct ongoing file review and updates to reflect patient journey; Follow case-management protocols, including data collection... ...the training process of new Nurse Case Managers and provide... ...depends on the full and effective utilization of qualified individuals....Full timeLocal area$75k - $92k
...Job Summary: JCCA is seeking Registered Nurses to join our Foster Home Services Division in the Bronx. The Registered Nurse will... ...and other pertinent medical or mental health information; reviews ACS triage material and communicate with ACS on as needed basis...Remote workMonday to Friday2 days per week1 day per week$38 - $40 per hour
...RN Case Manager - Compact License Title: RN Case Manager - Compact License Duration: Long-term... ...reside in a state that is part of the Nurse Compact (multi-state-licensure) Colorado... ...Chronic Care Professional (CCP) preferred STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!...Long term contractContract workRemote work$73.45k - $130k
...applications in the New York, NY area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas... ...encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job types...Full timePart timeShift workDay shift$37 - $40 per hour
...Job Description REGISTERED NURSE CASE MANAGER for Home Care Agency (Monmouth and Ocean County) MONMOUTH AND OCEAN COUNTY FREEHOLD AREA IMMEDIATE opening REGISTERED NURSE, RN RN must have at least 5 years Nursing experience. Home care experiencecare experience a plus Our...Hourly payDaily paidPart timeWork at officeImmediate startMonday to FridayFlexible hours$65k - $70k
...sufficiency, and personal growth. Utilize trauma-informed and evidence... ...professional development to Case Managers and MSW interns. Conduct... ...team meetings to review participant progress and address... ..., program improvements, and strategic decision-making....InternshipLocal areaWork visa$72.63k - $155.54k
...Company: Oak Street Health Title: RN, Case Manager Location: University Ave 1953... ...admissions, driving efficient resource utilization, and ensuring effective team-based care... ...providers visits. Perform timely nursing assessments and provide patient education...Hourly payFull timePart timeLocal areaRelocation packageFlexible hours- ...Job Title: (Nursing Services) Program:Enhanced Family Foster Care Nurse Case Manager Reports to: Nursing Director Summary... ...goals for children, utilizing historical and currently available... ...experience, resumes will also be reviewed for related work experience...Full timeWork experience placementWork at office
$105k - $115k
...Team at The Black Car Fund: New York Workers' Compensation Nurse Case Manager Hybrid (Long Island City, NY) or Fully Remote (for... ...duration guideline. (ODG/Presley Reed) Adhere to URAC (Utilization Review Accreditation Commission) standards. Certification preferred...Work at officeRemote workRelocation packageFlexible hours$75k - $88k
...Details Berkley Medical Management Solutions (BMMS)... ...workers' compensation cases. To get it right, we started... ...takes medical bill-review services and clinical... ...Responsibilities As a Telephonic Nurse Case Manager, you will... .... Assess appropriate utilization of medical treatment...Full timeRemote workFlexible hours$22 per hour
...Title: Case Manager of the NORC program Position Type: Hourly (Non-Exempt) Hourly Rate: $22.00 Work Schedule: Monday through Friday... .... Strong communication skills (writing and speaking). Strategic thinking and planning skills. Demonstrated interest in...Hourly payWork at officeMonday to FridayFlexible hours$103k
...currently looking for Registered Nurses to complete Clinical... ...assessments. Ability to review health status questions and make... ...referral forms, as relevant to the case 3. Enter evaluation data into... ...for enrollment into a managed care health plan Required Licensure...Local area
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